182128 02/03/2010 a; CITY OF CARMEL, INDIANA VENDOR: 00352777 Page 1 of 1
i. ONE CIVIC SQUARE USA BLUE BOOK
1 CARMEL, INDIANA 46032 PO BOX 9004 CHECK AMOUNT: $76.03
±ti GURNEE IL 60031 -9004 CHECK NUMBER: 182128
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 970335 76.03 OTHER EXPENSES
r
USABIlleBOOK INVOICE
'INVOICE NO. PAGE NO.
TEL: (847)689 -9781 970335 1 of 1
Remit t0: l FAX: (847) 689 -3001
P? O. Box 9004 1 TOLL FREE: 1- 800 -493 -9876 CUSTOMER NO. DATE
Gurnee, IL 60031-9004
F.E.I.N.: 36 3645787 163145 01/14/10
BILL TO: SHIP TO:
163145 SAME
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131ST ST 3450 W 131ST ST
WESTFIELD, IN 46074 WESTFIELD, IN 46074
ATTN JERRY CLOUD
(CUSTOMER,P.O. NO. SHIP DATE SLP; TERMS TAX�CODE s.aCes W/H FREIGHT. SHIP VIA
OB�ERNO.
VERBAL JERRY 01/14/10 DAV NET 30 INEXEMPT 731636 01 PREPAID UPS
USA STOCK NO. _s 9 oaoep
DESCRIPTION x QRDERED SFiIPPEI] OM'
•;PRICE PER EXTENSION
35594 Easy -Read Tank Thermometer 2 1 1 EA 65.37 EA 65.37
0 to 230 Degrees F
THANK YOU for your business! MERCHANDISE MISCELLANEOUS DISCOUNT; 'a TAX FREIGHT TOTAL
1.5% MONTHLY FINANCE CHARGE
ON AMOUNTS 34 DAYS PAST DUE 65.37 .00 .00 .00 10.66 76.03
Discounts Apply to Merchandise Only
Should it become necessary to refer your unpaid balance to a collection agency, a collection fee, not to exceed 25% of the
balance referred, plus reasonable attorneys fees: and court costs when necessary, will be added to the balance due.
VOUCHER 094203' WARRANT ALLOWED
352777 IN SUM OF
USA BLUE BOOK
PO BOX 9006 Wc-\
GURNEE, IL 60031 -9006 OA
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
970335 01- 6200 -02 $76,03
Voucher Total $76.03
C.ost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form, 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
fr
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352777
USA BLUE BOOK Purchase Order No.
PO BOX 9006 Terms
GURNEE, 1L 60031 -9006 Due Date 1/25/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2010 970335 $76.03
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
4 14 v L
Date Officer